| NPI | 1639528599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301506724) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01085462A) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2023-01-26 |